Two of the strongest weight-loss peptides in the space, compared on the thing that matters: the trial data. Every figure below comes from our own product pages — no marketing math, no invented superiority. Read the table, then pick the one that fits your goal.
Every cell is anchored to the product pages — pathway, evidence, trial figures, titration, vials, side effects. If it's not on a product page, it's not in this table.
| Semaglutide | Tirzepatide | |
|---|---|---|
| Pathway | Single: GLP-1 receptor agonist (Ozempic/Wegovy molecule) | Dual: GIP + GLP-1 receptor agonist (Mounjaro/Zepbound molecule) |
| Evidence grade | Grade A — STEP, SUSTAIN, SELECT programs | Grade A — SURMOUNT-1, SURMOUNT-MASH, SURPASS-CVOT |
| Headline trial figure | STEP-1: −14.9% body weight at 68 weeks; STEP UP up to −20.7% at higher dose | SURMOUNT-1: −20.9% to −22.5% body weight at 72 weeks, dose-dependent |
| Titration ceiling | 0.25 → 0.5 → 1 → 2 mg weekly, up to 2.4 mg (higher-dose trials to 7.2 mg) | 2.5 → 5 → 7.5 → 10 → 12.5 → 15 mg weekly; TR50/TR60 vials for high-dose |
| Vial range | 10–30 mg | 5–60 mg |
| Side-effect profile | Early self-limiting nausea, constipation; rare pancreatitis/gallbladder signals | Nausea, constipation, injection-site reactions; rare pancreatitis signal — a spectrum similar to semaglutide |
| Who each fits | The proven, deepest-evidence option; a sensible first pick | The dual-pathway option with the larger trial numbers; the premium pick from the start |
No invented superiority claims — this is the trial data plus what the product pages say about the path between them.
Semaglutide has the deeper evidence base — Phase 3 programs across STEP, SUSTAIN and SELECT, including the SELECT cardiovascular outcomes trial (MACE reduction). The most-evidenced peptide in the metabolic space, on our own product page.
Tirzepatide's SURMOUNT-1 ran −20.9% to −22.5% at 72 weeks, dose-dependent — the class-leading figures in the sources. Two gut-hormone pathways instead of one is the mechanism behind it.
The path the product pages themselves describe: many start on semaglutide and step up to tirzepatide if they plateau. You lose nothing by starting with the option that has the deeper evidence.
Applies to both peptides, and it's the difference between a scale number and a body composition you'll actually keep.
Per-vial pricing on both, same payment paths, same delivery.
Semaglutide vials run 10–30 mg; tirzepatide 5–60 mg. One vial is a valid order on either.
Same lot, same delivery, whole order 10% off. Quote your order number as the payment reference — that's the step people miss.
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